Impact of a Multidisciplinary Management Strategy on the Outcome of Patients With Native Valve Infective Endocarditis

Chirillo, Fabio; Scotton, Piergiorgio; Rocco, Francesco; Rigoli, Roberto; Borsatto, Francesca; Pedrocco, Alessandra; Leo, Alessandro De; Minniti, Giuseppe; Polesel, Elvio; Olivari, Zoran

doi:10.1016/j.amjcard.2013.05.060

Cited by 148 publications

(98 citation statements)

References 24 publications

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“…W przypadku IZW zespołowy sposób terapii chorego, w tym standardowe leczenie farmakologiczne i chirurgiczne według zalecanych wytycznych oraz roczny okres obserwacji, praktykuje się we Francji, gdzie wykazano istotne obniżenie rocznej śmiertelności z powodu IZW z 18,5% do 8,2% [12]. Inni autorzy ostatnio opublikowali podobne wyniki [56]. Biorąc pod uwagę powyższe dane, AHA/American College of Cardiology w wytycznych z 2014 r. dotyczących postępo-wania u pacjentów z wadami zastawkowymi serca zaleciło zespołową terapię chorego, przypisując jej klasę zaleceń IB [25].…”

Section: "Grupa Izw" (Endocarditis Team)unclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

144

212

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Section: "Grupa Izw" (Endocarditis Team)unclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

144

212

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“…Su diagnóstico y tratamiento suelen ser complejos y actualmente se recomienda su abordaje por un equipo multidisciplinario especializado (endocarditis team) en un centro de referencia (que permita el tratamiento integral del cuadro), estrategia que se ha relacionado con menor morbimortalidad (2,3) .…”

Section: Discusión Diagnósticounclassified

“…Esta paciente pasó a formar parte del grupo de alto riesgo de EI (EI previa), por lo que debe recibir profilaxis antibiótica (indicación clase IIa, nivel de evidencia C) (3,6) .…”

Section: Tratamientounclassified

Endocarditis infecciosa a Staphylococcus caprae con múltiples embolias preoperatorias graves y vegetación mitral gigante residual

2019

Rev. Urug. Cardiol.

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Endocarditis infecciosa a Staphylococcus caprae con múltiples embolias preoperatorias graves y vegetación mitral gigante residual ResumenLa endocarditis infecciosa (EI) es una enfermedad infrecuente, heterogénea en su presentación, con una alta mortalidad global y frecuente indicación de cirugía cardíaca. Presentamos el caso de una joven con EI a S. caprae y múltiples embolias preoperatorias graves. Dado que se presenta al ingreso con infección en curso, absceso esplénico y vegetación remanente de muy alto riesgo embólico, plantea un dilema terapéutico en cuanto a oportunidad quirúrgica y orden en que deben resolverse las complicaciones de su enfermedad infecciosa. En este caso se procedió a cirugía vascular, posteriormente esplenectomía y por último cirugía valvular, todas en breve plazo, logrando resolver la patología integralmente y sin complicaciones. Palabras clave: ENDOCARDITIS BACTERIANA STAPHYLOCOCCUS CAPRAE ABSCESO Infectious endocarditis to Staphylococcus caprae with multiple severe preoperative embolisms and residual giant mitral vegetation SummaryInfective endocarditis is an infrequent disease, heterogeneous presentation, with high mortality, and frequent indication of heart surgery. We introduce the case of a young woman, with S. caprae infective endocarditis, and multiple preoperative serious emboli. Since she presents at admission with infection in progress, splenic abscess and mitral vegetation with high embolic risk, it poses a therapeutic dilemma regarding surgical opportunity and the order in which the complications should be resolved. In this case we proceeded to vascular surgery, then splenectomy and finally valve surgery, all in a short time, to solve the pathology integrally and without complications. Endocardite infecciosa para Staphylococcus caprae com múltiplos embolismos pré-operatórios severos e vegetação mitral gigante residual ResumoA endocardite infecciosa é uma doença infrequente, de apresentação heterogênea, com alta mortalidade e frequente indicação de cirurgia cardíaca. Apresentamos o caso de uma jovem mulher com endocardite infecciosa a S. caprae e múltiplos êmbolos pré-operatórios graves. Por se apresentar na admissão com infecção em curso, abscesso esplênico e vegetação mitral com alto risco embólico, apresenta um dilema terapêutico em relação à oportunidade cirúrgica e a ordem em que as complicações devem ser resolvidas. Neste caso precedeu à cirurgia vascular, depois à esplenectomia e finalmente à cirurgia valvar, tudo em um curto espaço de tempo, para resolver integralmente a patologia e sem complicações. Revista Uruguaya de Cardiología Carta científica Volumen 34 | nº 2 | Julio 2019 Carta científica Revista Uruguaya de Cardiología Volumen 34 | nº 2 | Julio 2019 Figura 2. Vegetación mitral gigante y friable. Vista auricular. Ocupa toda el orificio mitral y gran parte de la aurícula izquierda. Múltiples lóbulos. La válvula mitral se encuentra completamente oculta por la vegetación. Revista Uruguaya de Cardiología Carta científica Volumen 34 | nº 2 | Julio 2019 211 Figura 3....

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“…1). This round table approach has been shown to significantly reduce the in-hospital and 1-and 3-year mortality in France, Italy and Spain [4][5][6]. To be effective, the structure of an E-Team has to be modelled, taking specifications of health systems, including cultural and socio-economics, in consideration.…”

mentioning

confidence: 99%

The round table approach in infective endocarditis & cardiovascular implantable electronic devices infections: make your e-Team come true

Erba

Habib

Glaudemans

et al. 2017

Eur J Nucl Med Mol Imaging

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Over the past decade health care systems have faced a set of challenges leading to an increasing emphasis on interdisciplinary team work. Workforce re-structuring is the result of several factors including population changes and growth in medical knowledge with the consequent increasing rate of specialization. Aging of the population, the increasing numbers of patients with more complex needs, associated with chronic diseases, has increased tremendously. On the other side, increasing specialization within health professions have led to fragmentation of disciplinary knowledge resulting in no one health care professional being able to meet all the complex needs of their patients. Multidisciplinary team working has been proposed as the model for several years in oncology in many hospitals and medical centres. More recently, the multidisciplinary team approach has been extended in patient management as a response to manage complex disease states, beyond oncology. In the Cardiology field, the transcatheter aortic valve implantation (TAVI) team is a recent example [1]. In the field of infective endocarditis (IE), in some centers a multidisciplinary approach for evaluating patients with IE is

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Impact of a Multidisciplinary Management Strategy on the Outcome of Patients With Native Valve Infective Endocarditis

Cited by 148 publications

References 24 publications

2015 ESC Guidelines for the management of infective endocarditis

2015 ESC Guidelines for the management of infective endocarditis

Endocarditis infecciosa a Staphylococcus caprae con múltiples embolias preoperatorias graves y vegetación mitral gigante residual

The round table approach in infective endocarditis & cardiovascular implantable electronic devices infections: make your e-Team come true

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